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Individual

DR. SUSANNE YVONNE LAVOIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DDS

Contact information

Practice address
1481 ATWOOD AVE, SUITE #3, JOHNSTON, RI 02919-4800
(401) 228-7550
(401) 228-7560
Mailing address
1481 ATWOOD AVE, SUITE #3, JOHNSTON, RI 02919-4800
(401) 228-7550
(401) 228-7560

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
DEN02060
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
SL16727
RI
Enumeration date
08/31/2006
Last updated
01/04/2012
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